Individual provider Active NPI

Hayden Matli, OD

  • Optometrist
  • Bellaire, TX
National Provider Identifier
1336722800
Registry record updated May 3, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
10052T Issued in TX
Practice address
6565 West Loop S Ste 650
Bellaire, TX 77401-3505
Phone
(713) 797-1010
Fax
(713) 357-7290
NPI assigned
May 3, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 3, 2021

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 10052T TX Primary

Addresses

Primary practice location

6565 West Loop S Ste 650
Bellaire, TX 77401-3505

Mailing address

6565 West Loop S Ste 650
Bellaire, TX 77401-3505
Phone (713) 797-1010

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20211116003022 GA Practitioner - Optometry 5092104869 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Marietta Eye Clinic, PAGroup PAC ID 0143210427, 39 clinicians

Practice addresses (Care Compare)

895 Canton Rd NE
BLDG 100
Marietta, GA 30060-8935
Phone (770) 427-8111

Merit-based Incentive Payment System (MIPS)

Final score
93.93 of 100Reported as apm
Quality
82.14
Promoting interoperability
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
10052TTXMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Marietta Eye Clinic, PA Optometrist CurrentSince Nov 2, 2021 Accepting new patients
Marietta Eye Clinic PA Current Accepting new patients
Eye Center of Texas LLP CurrentSince May 9, 2021 Accepting new patients
Marietta Eye Clinic PA CurrentSince Nov 2, 2021 Accepting new patients
Jed Lee Howard PA PastSince May 9, 2021 Accepting new patients
Marietta Eye Clinic, PA Past Accepting new patients
Marietta Eye Clinic, PA Optometrist Past Accepting new patients

Locations

4450 Calibre Xing NW
Ste 1104
Acworth, GA 30101
Phone (678) 279-1141

100 Old Ball Ground Hwy
Canton, GA 30114
Phone (770) 479-2195

100 Old Ball Ground Hwy
#A
Canton, GA 30114

8841 Hospital Dr
Douglasville, GA 30134
Phone (770) 577-2200

1950 Spectrum Cir SE
Ste 150
Marietta, GA 30067
Phone (770) 952-6851

2520 Windy Hill Rd SE
Ste 206
Marietta, GA 30067
Phone (770) 952-6851

2453 Powder Springs Rd SW
Ste 400
Marietta, GA 30064
Phone (770) 801-0700

895 Canton Rd NE
Bldg 100
Marietta, GA 30060
Phone (770) 425-6167

3939 Roswell Rd
Ste 100
Marietta, GA 30062
Phone (770) 977-8000

10485 Alpharetta St
Roswell, GA 30075
Phone (678) 439-2443

4025 Johns Creek Pkwy
Ste 200
Suwanee, GA 30024
Phone (678) 439-2450

2990 Eagle Dr
Ste 110
Woodstock, GA 30189
Phone (678) 460-4810

6565 West Loop S
Ste 650
Bellaire, TX 77401

Organizations & group practices 7

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1620000000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1620000000000",
    "number": "1336722800",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6565 WEST LOOP S STE 650",
            "city": "BELLAIRE",
            "state": "TX",
            "postal_code": "774013505",
            "telephone_number": "713-797-1010",
            "fax_number": "713-357-7290"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6565 WEST LOOP S STE 650",
            "city": "BELLAIRE",
            "state": "TX",
            "postal_code": "774013505",
            "telephone_number": "713-797-1010",
            "fax_number": "713-357-7290"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MATLI",
        "first_name": "HAYDEN",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-05-03",
        "last_updated": "2021-05-03",
        "certification_date": "2021-05-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TX",
            "license": "10052T",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bellaire, TX

Sources for this page

Verify at the official NPI Registry.